Enclosed is an application for induction into the Officer Candidate School Hall of Fame at Fort Benning, Georgia. You may nominate yourself.

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1 DEPARTMENT OF THE ARMY HEADQUARTERS, 3RD BATTALION (OCS), 11TH INFANTRY REGIMENT FORT BENNING, GEORGIA REPLY TO ATTENTION OF: 3 rd Battalion (OCS) 11 th Infantry Brigade 6510 Benjamin Avenue Fort Benning, GA July, 2012 Dear Sir/Ma am, Enclosed is an application for induction into the Officer Candidate School Hall of Fame at Fort Benning, Georgia. You may nominate yourself. To complete the application, we require two color photographs of the nominee (1-8x10 and 1-5x7 inches in size). These photographs must be in a Class A uniform or ASU from the waist up without headgear or in a business suit. Additionally, please complete the enclosed privacy act waiver and biographical sketch (Typed) and return these items to the following address below. Commander 3rd Battalion (OCS) 11 th Infantry Regiment ATTN: S Benjamin Avenue, Bldg Fort Benning, GA Once your nomination packet is reviewed and you are selected for induction, we will send you additional information concerning the induction ceremony. The cut off date for submission is February 20, Packets must be post marked no later than December 31 st. If you have any questions concerning the Hall of Fame, please feel free to contact CPT Reginald J. Mitchell at the above address or phone (706) /6754 or Defense Switched Network (DSN) /6754. Sincerely, John A. Best LTC, Infantry Commanding

2 CRITERIA AND PROCEDURES FOR INDUCTION INTO THE OCS HALL OF FAME 1. The Hall of Fame is intended to honor graduates of the Officer Candidate School Program who have distinguished themselves in military or civilian pursuits. Selection is not guaranteed. You will be notified upon your selection. The criteria for possible selection are as follows: a. Commissioned from any active component Army OCS program and accomplished one of the following: (1) Awarded the Medal of Honor (2) Attained the rank of Colonel while serving on active duty or the reserves. (3) Elected or appointed to an office of prominence in the national or state government. (4) Achieved national or state recognition for outstanding service to the nation. (5) Attained an exceptional wartime service record. 2. Applications must include the following: a. Name, grade b. Complete mailing address, work and home phone number c. Graduation date, class number, and the school attended d. Copy of OCS graduation orders, commissioning certificate or diploma e. Copy of Colonel Promotion orders and date of rank f. Description of military or civilian distinctions if appropriate. Include all documents which support achievements. g. Privacy Act Waiver h. Typed Biographical Sketch i. 2-8x10 and 2-5x7 Color photos in Class A uniform or business suit, from the waist up without headgear. j. Signed Hometown News Release 3. Requests for exception to policy of the criteria will be considered on a case by case basis by the commandant of the 3-11 th IN (OCS) BN. 4. A voting board is used to select nominees to be inducted into the Hall of Fame. The Board consists of the Commandant, USAIS, 199th Infantry Brigade Commander, Commander, two Qualified retired OCS HOF members and Commander, 3 rd BN, 11 th Infantry Regiment. A majority vote is required for selection. The Commanding General, USAIS will approve nominees for induction into the Hall of Fame. Selection is not guaranteed. You will be notified upon selection.

3 5. Nominations or further inquiries for the Hall of Fame should be submitted to: COMMANDER, 3/11th IN (OCS) BN ATTN: S Benjamin Avenue, Bldg Fort Benning, GA

4 REQUEST FOR INDUCTION OFFICER CANDIDATE SCHOOL HALL OF FAME NAME OF NOMINEE: MAILING ADDRESS: NOMINATOR S NAME: MAILING ADDRESS: TELEPHONE NUMBER OF NOMINEE: ( ) DSN: SEND TO: COMMANDER ATTN: S1 3D BATTALION (OCS), 11TH INFANTRY REGIMENT 6510 BENJAMIN AVE, BLDG 2749 FORT BENNING, GEORGIA POC: S1 SECTION (706) OR 9160 DSN OR 9160 FAX (706)

5 TYPED BIOGRAPHICAL SKETCH (NO ABBREVIATIONS PLEASE) FULL NAME (RANK, FIRST, M., LAST) was commissioned a (n) Full Name as above Branch Officer upon graduation from Officer Candidate School Class Class # on. His/Her first duty assignment was as Date Job Title, Unit, City, State His/Her subsequent duty assignments include: Job Title Unit City, State

6 He/She is currently serving as Job Title, Unit, City, State -- if retired, list employer and official job title of current civilian employment. is a graduate of List all military schools attended. His/Her military awards include NOTE: Biographical sketch must be typed. Avoid abbreviations. Spell out Job Titles, Schools and Awards. If additional space is needed, please attach a separate piece of paper. Thank you! I agree to have the above information released to the press and hometown news release. Signature Address City, State, Zip SSN DOB

7 Phone Number (Work/Home) PRIVACY ACT WAIVER The Privacy Act of 1974 provides the authority to request information under section 5 U.S.C. 552a. The purpose of this information request is to provide the Officer Candidate School Hall of Fame Processing Officers with information on the military and or civilian careers of recommended nominees for induction into the Officer Candidate School Hall of Fame. Disclosure of SSN and personal information is voluntary. Failure to provide authorization may result in rejection of nomination. I,, understanding my rights under the Privacy Act of 1974, hereby waive any right to restrict access to any existing Government document and freely consent to the release of all Government records pertaining to me to the Officer. NOMINEE S SIGNATURE DATE

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